Ka turuturu tō mimi i ētahi wā ina kata koe, ina maremare, ina tihe rānei? Kei te rongo rānei koe i te taumaha, i te kī, i te kukume rānei i roto i tō tara? Koinei ngā raruraru e pāngia ana e te tini o ngā wāhine, inā koa i muri i te whānautanga o ā rātou tamariki, engari he whakama ki te kōrero mōna. Nō reira, i tēnei rā ka kōrero tātou mō tētahi maimoatanga māmā, kāore he pokanga mō tēnei. Koinei te tikanga o te pessary.
He aha te pessary?
He taputapu iti te pēssary, ka taea te tango, ka whakaurua ki roto i tō tenetene hei tautoko i ō whekau hope. He mea hanga i te silicone ngohengohe, kāore he paitini.
Whakaarohia, ko ngā whekau o roto i te kōhao hope, pērā i te kōpū, te pūhā, me te pūrua, e puritia ana e ngā uaua o te papa hope. Me te mea nei kei te puritia ēnei whekau e te kupenga.
Heoi, ka ngoikore pea ēnei uaua nā ngā āhuatanga pēnei i te haputanga, te whānautanga, te hiki taumaha, me te koroheketanga. Kātahi, me te mea kua wetekina te kupenga, ka tīmata ngā whekau ki te hinga, ki te piko rānei. Ka kiia tēnei āhuatanga ko te Pelvic Organ Prolapse (POP) , ko te "uterine prolapse" rānei. I ēnei wā, ka whakamahia tēnei pessary hei tautoko i aua whekau kua heke iho, hei pupuri anō hoki i a rātou kia tū.
I roto i ēhea āhuatanga ka whakamahia te pessary?
E whakamahia ana te pessary hei rongoā mō ngā mate matua e rua.
1. Te hekenga o te whekau pelvis (POP):
Koinei te wā e neke ai tetahi okana, pērā i te kōpū, i te pūkahukahu rānei, ki raro i te tara. Ka puta pea he kare ā-roto kī, he taumaha, he mea rānei e mau ana i roto i te tara. I ētahi wā kino rawa, ka taea e te okana te puta ki waho kia kitea mā roto i te tara. Ka āwhina te pessary ki te whakamamae i tēnei mamae, ā, ka tautoko hoki i te okana.
2. Te kore e taea te pupuri i te mimi i te ahotea:
Koinei te wā e turuturu ana te mimi iti ina pēhia te puku, pērā i te kata, te maremare, te tihe, te whakakorikori tinana, te hiki rānei i tētahi mea taumaha. Nā te ngoikore o ngā uaua e whakahaere ana i te mimi te take. Ina whakaurua he pessary, ka tautokona te urethra, kia taea ai te whakahaere i te turuturu o te mimi.
He maha ngā wā, ko ngā wāhine kāore e hiahia ki te pokanga, e tūpono ana rānei ki te pokanga nā ētahi atu mate, ka whakamahi i tēnei maimoatanga pessary. Waihoki, ka tūtohu ngā tākuta i tēnei hei mahi whai muri ina kore e puta he hua i ngā mahi whakakori tinana o te papa pelvic.
He aha ngā momo pessary kei reira?
He maha ngā āhua me ngā rahi o ngā pēsari. Mā tō tākuta e whiriwhiri te mea e pai ana mō tō āhua me tō momo tinana. Me titiro tātou ki ētahi o ngā momo matua.
| Momo Pessary | He whakaahuatanga māmā me ngā tauira whakamahinga |
|---|---|
| Mowhiti Pessary | He rite tēnei ki te mowhiti porowhita. Koinei te momo e whakamahia whānuitia ana. He tino whai hua mō te kore e taea te pupuri i te mimi i roto i te taumahatanga me te POP ngawari. He ngāwari te mau me te tango. |
| Te Pessary Gellhorn | He taputapu āhua kōpae tēnei, he iti nei te pūwero i waenganui. Ka whakamahia mō ngā mate pāwera o te pēpi kua pāngia e te mate pēpi. Haunga te tautoko, ka whakakīia hoki te taha o runga o te tenetene, ā, ka ārai i te hekenga o te ure. |
| Pessary Tōnati | He porowhita anō hoki tēnei, engari he matotoru ake i te Ring Pessary, he rite ki te tōnati. E whakamahia ana hei whakakapi mō te Gellhorn mō ngā mate POP kino. |
| Pesari Kurupae | He āhua tapawhā tōna āhua. Engari he piko ngā taha. Ka piri ki ngā pakitara o te tara (mōmiomio). He kōwhiringa anō hoki tēnei mō ngā mate POP kino. |
| Ētahi atu momo | Haunga tēnei, kei reira anō ētahi atu momo pērā i a Shaatz me Gehrung. Mā te tākuta e whiriwhiri te momo tino tika i runga i tō āhua. |
Me pēhea te whakauru tika i tētahi pessary?
Ehara i te mea uaua te whakauru i tētahi pessary pērā i tō whakaaro. Mā tō tākuta tēnei e mahi. Me titiro tātou ki te mahi i tēnei i ia taahiraa.
1. Whakamātautau Pelvic: Tuatahi, ka tirotirohia e te tākuta tō tenetene me ngā whekau pelvis. Ka whakaarohia te roa, te rahi, me te nui o te hekenga o tō tenetene hei whakatau i te pessary tika.
2. Te whiriwhiri i te momo me te rahi: Muri iho, i runga i ngā raraunga whakamātautau, ka whiriwhiria e koe te momo me te rahi o te pessary e pai ana ki a koe. He mea tino nui tēnei. Mena he iti rawa te pessary, ka tangohia pea ina haere koe ki te wharepaku, ina totoro nui rānei. Mena he nui rawa, ka ahua kore whakamarie, ka mamae pea ina kei roto. Ko te rahi tika ko te rahi kāore koe e mōhio kei roto, engari kāore hoki e tangohia.
3. Te whakauru i te pessary: Ka ata whakauru te tākuta i te pessary. Ka taea e koe te whakamahi i te hinu whakahinuhinu hei āwhina i te urunga ngāwari. Mena kei te āwangawanga koe mō te mamae, ka taea te pania he rongoā whakangote ki te pūaha o te tara. Kōrero ki tō tākuta mō ngā mamae ka pā ki a koe.
4. Te tirotiro mēnā kei te tū te pessary: Whai muri i te whakaurunga o te pessary, ka tonoa koe kia tū ake, kia noho, kia piko whakamuri, kia maremare hoki hei tirotiro mēnā kei te tū. Ka tonoa hoki koe kia mimi i mua i tō haerenga. Me taea e koe te mimi me te kore he uaua i te wā e tū ana te pessary.
Kia maumahara, i ētahi wā kāore e kitea e koe te pessary tino tika i te wā tuatahi. Tērā pea ka roa pea te whakamātau kia kitea ai te mea tika. He mea noa tēnei, nō reira kaua e manukanuka.
Me pēhea te tiaki i te pessary me te pupuri i tōna ma?
Ko te tiaki i tētahi pessary ka whakawhirinaki ki te momo. Ko ētahi momo, pērā i te ring pessary, ka taea te tango, te horoi, me te whakauru anō ki te kāinga. Ma tō tākuta koe e whakaatu ki te mahi i tēnei.
- Mena ka taea e koe te horoi i a koe anō:
- Ka taea e koe te tango atu ka horoi kotahi i te wiki, i ia pō rānei.
- Tuatahi, horoia ō ringaringa ki te hopi kia tino mārie.
- Kātahi ka tangohia te pessary.
- Horoia ki te hopi ngawari me te wai.
- Horoia rawatia ki te wai, whakamaroke rawatia, kātahi ka whakahokia anō.
- Mena he momo kāore e taea e koe te tango atu:
- Ko ētahi momo, pērā i a Gellhorn, he uaua ki te tango atu i a koe anō.
- I ngā wā pēnei, me toro atu koe ki tō tākuta i ia 3, i ia 6 marama rānei .
- Kātahi ka tangohia e te tākuta te pessary, ka horoia, ka tirohia tō tenetene, kātahi ka whakahokia ki roto. He mea nui tēnei tirotiro.
Ngā painga me ngā wero pea o te pessary
Pērā i ngā maimoatanga katoa, he pai ngā painga me ngā wero o te pessary. He mea nui kia mōhio koe ki ēnei.
| Ngā Painga | Ngā Huakore / Ngā Wero |
|---|---|
| Te kaha ki te whakahaere i ngā tohumate me te kore e pokanga. | Tērā pea ka maha ngā whakamātautanga hei kimi i te pessary tika. |
| He tino haumaru te whakamahi, ā, he iti noa iho te mōrearea. | Me toro atu ki te tākuta i ngā wā katoa hei tiaki i te hauora. |
| He tino iti te utu ki te whakaritea ki te pokanga. | Ko ētahi momo kuri, pērā i a Gellhorn me Cube, me whakawhānau i mua i te moe tāne, ā, me rapu āwhina pea i te tākuta. |
| He whakaora tere i ngā tohumate o te POP me te Stress Incontinence. | I ētahi wā tino kino, kāore pea tēnei e angitu, ā, i te mutunga ka hiahiatia he pokanga. |
He aha ngā tohu hei tūpato māu, ā, āhea koe me toro atu ki te tākuta?
Kia tūpato ki ngā panonitanga katoa o tō tinana i a koe e whakamahi ana i te pessary. He mea noa te piki haere o te wai i roto i te tara, he mā te tae. Heoi, ki te kite koe i tētahi o ēnei mea, kōrero tonu ki tō tākuta.
- Mamae, koretake rānei: Ki te pāngia koe e te mamae, e te tino koretake rānei i te wā e mau ana te pessary, tērā pea kāore i te tika te rahi.
- He toto māwhero, he toto rānei te rerenga: Ko te tikanga tēnei kei te mirimiri te pessary ki te pakitara o te tara. Me huri pea koe ki tētahi atu rahi, me kore rānei e whakamahi i te pessary mō tētahi wā.
- He rerenga kē, he kakara kino te tara: He tohu pea tēnei nō te mate tara. Tērā pea me rongoā paturopi.
Ki te pā mai tētahi āhuatanga pēnei ki a koe, kaua e whakatau ko koe anake, kaua e mataku, me toro atu ki tō tākuta tonu. He ngāwari noa iho ngā otinga mō tēnei.
He pēsari, he pokanga rānei? Ko tēhea te mea pai ake?
He uaua ki te hoatu i tētahi whakautu poto ki tēnei, nā te mea he rerekē i ia tangata, i ia tangata.
I ngā wā maha, ka taea e te pessary te āwhina i te whakahaere i ngā tohu me te karo i te pokanga. Heoi, ki te tino kino tō POP, kāore pea te pessary e whai hua. Kua whakaatuhia e ētahi rangahau ka taea e te pokanga te whakarato i te whakaora roa mō te POP kino.
Waihoki, mō te tangata kāore e taea te toro atu ki te tākuta i ia wā mō te tiaki i te pessary, he pai ake pea te pokanga.
Ko kōrua anake me tō tākuta te hunga e whakatau pai ana mō tēnei. Me whai whakaaro koe ki tō āhuatanga, ki tō momo noho, me ō hiahia i mua i te whiriwhiri i te otinga pai. Nō reira, kaua e wehi, kaua hoki e whakama ki te kōrero whānui mō tēnei ki tō tākuta.
Karere Tangohia ki te Kāinga
- He rongoā haumaru, whai hua hoki te pessary, kāore he pokanga mō ngā āhuatanga pēnei i te prolapsed uterus (POP) me te stress incontinence.
- Kāore tēnei e pai mō te katoa. Mā tō tākuta e whakatau mēnā he pai tēnei mō tō āhua.
- He mea noa te whakamātau i ngā wā maha kia kitea ai te pēpi niho e tika ana mōu.
- I runga i te momo pessary, he mea tino nui kia horoia tika, kia kite hoki i tō tākuta mō tētahi tirotiro i te wā kua whakaritea.
- Mēnā ka mamae, ka rere rerekē rānei te wai, ka puta mai rānei tētahi atu āhuatanga kore whakamarie, kaua e rongoā i a koe anō, engari me rapu tonu i te tohutohu hauora.
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